00597003510 — Spesolimab-sbzo 450 Mg/7.5ml IV Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SPESOLIMAB-SBZO 450 MG/7.5ML IV SOLN (NDC 00597003510) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00597003510?code_type=NDC
MLA (9th ed.)
“SPESOLIMAB-SBZO 450 MG/7.5ML IV SOLN (NDC 00597003510) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00597003510?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“SPESOLIMAB-SBZO 450 MG/7.5ML IV SOLN (NDC 00597003510) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00597003510?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $42,185–$57,525 (25th–75th percentile) across 5 hospitals · 117 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 00597003510 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $35.88 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $35.88 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $45.28 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $61.43 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Mediare Advantage | Medicare Advantage | $61.43 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $61.43 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $61.43 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $61.43 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $63.25 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $63.25 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $63.25 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $63.25 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $64.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | Medicare HMO | $65.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $65.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | $65.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $65.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | $65.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $65.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community Medicare | Medicare | $65.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TriWest Healthcare Alliance | Other Government | $65.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $65.73 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $67.57 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Memorial Medicare | HMO-Medicare | $67.57 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Central Health Plan | Medicare HMO | $72.26 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthSmart | Workers Compensation | $78.86 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | SCAN | Medicare | $82.93 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $84.31 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centivo | PPO | $157.73 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Commercial | All Products | $181.39 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $188.62 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | EPN | $11,961.00 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | All Products | $15,948.00 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna Medicare | Medicare | $19,174.88 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $19,174.88 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Gold Coast Health Plan | HMO | $21,475.86 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Gold Coast Health Plan | HMO | $21,475.86 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Workers Comp | Workers Comp | $22,005.09 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $22,480.62 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $23,470.50 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MARKETPLACE | $23,470.50 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $24,942.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $25,157.44 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $25,771.03 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $25,771.03 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Medi-Cal HMO | Medi-Cal HMO | $26,844.83 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Providence Healthcare | Medicare | $26,844.83 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $26,844.83 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | $26,844.83 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | Medicare Advantage | $26,844.83 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA - RMG | All Products | $26,844.83 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA - RMG | All Products | $26,844.83 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $26,844.83 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | WellCare | Medicare Advantage | $28,055.07 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $28,102.70 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $28,102.70 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $29,989.50 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Molina Healthcare HMO | MediCal HMO | $30,679.80 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Children Hospital of Orange County | Medicaid HMO | $30,679.80 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Molina Healthcare HMO | MediCal HMO | $30,679.80 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Children Hospital of Orange County | Medicaid HMO | $30,679.80 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $30,679.80 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCI University - RMG | All Products | $30,679.80 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCI University - RMG | All Products | $30,679.80 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $30,986.60 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $30,986.60 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UC Ship | PPO | $36,432.26 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | Medicare | $38,733.25 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | Medicare | $38,733.25 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $38,733.25 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $38,733.25 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | VitalCore Physicians Group of MI | All Products | $39,117.50 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $40,682.19 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Priority Health | HMO/PPO | $41,973.07 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthCare Partners HMO | HMO-Medicare | $42,184.73 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care DSNP | Medicare HMO | $42,184.73 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care Covered CA | HMO | $42,184.73 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Optum | Medicare | $42,184.73 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | HealthCare Partners HMO | HMO-Medicare | $42,184.73 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | Fully Insured | $42,825.83 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $42,875.02 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $42,951.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $42,951.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Kaiser | All Products | $43,718.72 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Community General Services | HMO | $44,485.71 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community General Services | HMO | $44,485.71 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cigna | PPO | $44,876.88 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Cigna | HMO | $44,876.88 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Cigna | PPO | $44,876.88 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cigna | HMO | $44,876.88 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cigna Transplants | ALL PRODUCTS | $46,158.64 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Ontario Ministry of Health and Long-Term Care | ALL PRODUCTS | $46,940.99 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | McLaren Health | Health Advantage PPO | $47,535.58 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | McLaren Health | Commercial HMO | $47,535.58 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLPOINT (AMERIGROUP) | MANAGED MEDICAID | $48,968.08 | $87,443.00 | — | 2025-06-04 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Plan of Nevada Commercial | All Products | $49,087.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | AETNA | ALL PRODUCTS | $49,600.98 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | MEDICARE ADV | $49,842.51 | $87,443.00 | — | 2025-06-04 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Valley Care - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Western Neurological Network - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Torrance Hospital - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Hospital - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | MemorialCare Medical Foundation - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Commercial | HMO | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Access Medical Group - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Seoul Medical Group - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Seaview IPA - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Santa Barbara Select IPA - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Access Medical Group - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Monarch | Medicare | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Seoul Medical Group - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Seaview IPA - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Santa Barbara Select IPA - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | MemorialCare Medical Foundation - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Western Neurological Network - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Commercial | HMO | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Valley Care - RMG | All Products | $49,854.68 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Humana Transplants | ALL PRODUCTS | $50,852.74 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Humana Transplants | MEDICARE ADVANTAGE | $50,852.74 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna | All Products | $52,002.26 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna | All Products | $52,002.26 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna | All Products | $52,002.26 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital BothFacility | MULTIPLAN, INC. | Complementary Network | $52,417.44 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA | MEDICARE ADV | $52,465.80 | $87,443.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA | ALL PRODUCTS | $52,465.80 | $87,443.00 | — | 2025-06-04 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Select/SelectPlus | Select-Select Plus | $52,523.82 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Select/SelectPlus | Select-Select Plus | $52,523.82 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | First Health | Workers Compensation | $52,615.86 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital BothFacility | Priority Cigna | ALL PRODUCTS | $52,738.21 | $78,234.99 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Select/SelectPlus | Select-Select Plus | $53,221.78 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Select/SelectPlus | Select-Select Plus | $53,221.78 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Net B&G | HMO | $53,229.45 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $53,229.45 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | St. Jude | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Riverside Medical Clinic - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Saint Johns - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | San Bernardino - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Sansum Clinic - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Sharp Rees-Stealy - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Joseph Heritage - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Vincent IPA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Tri Valley - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Mary IPA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | United Family Care - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Care Specialists - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Choice Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Health Alliance - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | First Health | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Brookshire IPA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Axminister Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Apple Care Medical Group St. Francis - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Alliance Physicians of the High Desert Inc LOA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Alamitos IPA LOA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centinela Valley IPA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Korean American Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | AKM Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Lakewood IPA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Memorial Health Care - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch Healthcare - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Physicians Choice Medical Group San Luis Obispo - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | County of Ventura | HMO | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | PIH Health Physicians - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Pinnacle Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Dignity Health Medical Network Central California | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Premier Physician - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Commercial | HMO | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Medicare | Medicare | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Transplant | HMO | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Facey Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Prudent Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Yucaipa Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Sharp Rees-Stealy - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | AKM Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Alamitos IPA LOA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Alliance Physicians of the High Desert Inc LOA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Apple Care Medical Group St. Francis - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Axminister Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Brookshire IPA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Centinela Valley IPA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | County of Ventura | HMO | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Dignity Health Medical Network Central California | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Facey Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Care Specialists - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Choice Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Health Alliance - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Korean American Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Lakewood IPA - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Memorial Health Care - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Monarch Healthcare - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Physicians Choice Medical Group San Luis Obispo - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | PIH Health Physicians - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Pinnacle Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Premier Physician - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Commercial | HMO | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Medicare | Medicare | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Transplant | HMO | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Prudent Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Yucaipa Medical Group - RMG | All Products | $53,689.65 | $76,699.50 | $42,184.73 | 2026-03-29 | MRF ↗ |
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